Publications - Anxiety Disorders

“Massachusetts residents who need health care are colliding with a hard reality: Having medical insurance doesn’t guarantee you can get treatment, particularly for psychiatric problems. More than half of adults who sought mental health or addiction treatment in recent months had difficulty getting that care, according to a survey of 2,201 residents by the Blue Cross Blue Shield of Massachusetts Foundation in Boston...The obstacle wasn’t a lack of insurance; the vast majority of patients were insured. Rather, the problem was that providers either did not accept their insurance or their practices were closed to new patients.
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“Researchers have traced a connection between some infections and mental illnesses like schizophrenia, depression and bipolar disorder. New research from Denmark bolsters that connection. The study, published Thursday in JAMA Psychiatry, shows that a wide variety of infections, even common ones like bronchitis, are linked to a higher risk of many mental illnesses in children and adolescents...For all mental illnesses — excluding depression and bipolar disorder — the team found that being hospitalized for an infection was associated with a 84 percent higher risk of subsequently being diagnosed with a mental health disorder at a hospital and a 42 percent increased risk of being prescribed a medication for mental illness.
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“The Centers for Medicare and Medicaid Services may now allow for states to pursue Medicaid reimbursements for short-term inpatient treatment in mental health facilities despite a decades-old exclusion, Health and Human Services Secretary Alex Azar announced Tuesday.
In a letter to state Medicaid directors, CMS detailed a new Medicaid waiver opportunity through which states may bypass longstanding reimbursement restrictions on inpatient psychiatric treatment, which apply to mental health facilities with more than 16 beds. Azar said the original policy has posed a "significant barrier" to people getting the treatments they need.
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“A range of common mental health conditions are being diagnosed more often in U.S. university students, according to a study that also finds students are more willing to seek help than in the past. Based on surveys of more than 450,000 college students at 452 institutions, researchers found that from 2009 to 2015, the proportion who report having a diagnosis or being treated has gone up for anxiety, attention deficit hyperactivity disorder (ADHD), depression, insomnia, obsessive-compulsive disorder (OCD) and panic attacks...The study wasn’t designed to determine why diagnoses might be up or down, the authors caution. The results raise the question of whether college students’ mental health has been deteriorating, or whether it only appears this way because efforts to encourage students to seek help have succeeded, they write.
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“Omega-3 supplements may help reduce anxiety symptoms, a review of studies has concluded. The analysis, in JAMA Network Open, concluded that people with clinically diagnosed anxiety disorders who took large doses of the supplement — up to 2,000 milligrams a day — benefited most...omega-3 is not a first-line treatment for anxiety, or a substitute for other evidence-based therapies. 'But for patients who are not responsive to psychotherapies, omega-3 might be a promising alternative.'
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“Women can experience lingering health problems years after workplace sexual harassment or sexual assault, a new study finds. These health problems can include high blood pressure, poor-quality sleep, anxiety and symptoms of depression, the researchers found after doing medical exams of about 300 women. 'There is a clear correlation between the experience of sexual harassment or sexual assault for a woman and adverse effects on her life, be they physical or mental health consequences,' said Maureen Sayres Van Niel, a women’s psychiatrist practicing in Cambridge, Mass., and president of the American Psychiatric Association Women’s Caucus. She was not involved with the study.
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“Talk therapy for anxiety disorders can be effective even when done via video-conference, a new study confirms. This finding could be especially helpful for patients in underserved and rural areas, researchers write in Family Practice...Fourteen of the studies reported statistically significant improvements in anxiety and 11 reported clinically significant improvements, meaning the improvements made a difference in patients’ daily lives. Four of the six gold-standard trials found statistically significant improvements with video therapy, and five of the six found clinically significant improvements.
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“New findings add to the growing body of evidence suggesting that psychedelic drugs may be effective at treating a variety of psychological disorders, including depression, social anxiety and post-traumatic stress disorder (PTSD) and could one day be prescribed to patients...'Combined with psychotherapy, some psychedelic drugs like MDMA, psilocybin and ayahuasca may improve symptoms of anxiety, depression and post-traumatic stress disorder,' said Cristina L. Magalhaes, PhD, of Alliant International University Los Angeles, and co-chair of a symposium on psychedelics and psychotherapy.
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“Anxiety affects approximately one in three American teens, with more than eight percent experiencing severe impairment in daily functioning. But according to a new review published in The Nurse Practitioner, mind-body therapies, such as mindfulness, yoga and hypnosis, can play a vital role in reducing the very common problem of adolescent anxiety...The researchers also emphasize the role of pediatric nurse practitioners (NPs) in integrating screening and treatment for adolescents with anxiety. NPs can screen young patients for anxiety at every health visit and help create a personalized plan to treat it.
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“More than one in three Americans may be taking prescription medications that can lead to depression or increase the risk of suicide, according to a new study conducted by researchers at the University of Illinois at Chicago (UIC). And since many of these medications are common and not associated with depression — such as hormonal birth control medications, blood pressure and heart medications, proton pump inhibitors, antacids and painkillers — patients and clinicians may be unaware of the risks...'Many may be surprised to learn that their medications, despite having nothing to do with mood or anxiety or any other condition normally associated with depression, can increase their risk of experiencing depressive symptoms, and may lead to a depression diagnosis.'
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“Anxiety, not depression, is the leading mental health issue among American youths, and clinicians and research both suggest it is rising. The latest study was published in April in the Journal of Developmental and Behavioral Pediatrics. Based on data collected from the National Survey of Children’s Health for ages 6 to 17, researchers found a 20 percent increase in diagnoses of anxiety between 2007 and 2012. (The rate of depression over that same time period ticked up 0.2 percent.)
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“People with moderate to severe anxiety in middle age may be more likely to develop dementia as they get older, a recent study suggests. Researchers examined data from four previously published studies that tracked a total of almost 30,000 people for at least a decade. In each of the smaller studies, there was a clear connection between anxiety in midlife and dementia later on, researchers report in BMJ Open.
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“Most children experience mood swings from time to time, but kids with chronic irritability and serious depression or anxiety are at increased risk for suicidal thoughts and suicide attempts in adolescence, suggests a large Canadian study. Based on records for 1,430 children followed for up to 17 years, researchers found that those who were particularly irritable and depressed or anxious between ages 6 and 12 were twice as likely as peers to think about suicide or make a suicide attempt between ages 13 and 17.
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“New research suggests that evaluation and treatment of symptoms of depressionmay improve or maintain cognitive functioning in some older patients diagnosed with mild cognitive impairment (MCI). Boston University School of Medicine (BUSM) researchers said that individuals with worse depression and mood symptoms are more likely to develop MCI and to progress from MCI to dementia...'The implication is that successfully identifying and providing effective treatment for these neuropsychiatric symptoms, including depression, may potentially improve or maintain cognitive functioning in many older adults,' explained corresponding author Robert Stern, Ph.D.
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“Adolescents who experienced severe bullying by their peers earlier in childhood may be more likely to suffer from depression, anxiety and suicidal thoughts than teens who weren’t routinely victimized by other kids, a Canadian study suggests...Compared to teens who experienced little or no bullying as kids, adolescents who suffered chronic tormenting by their peers were more than twice as likely to be depressed and more than three times more likely to be anxious or seriously consider suicide, the study found...Adolescents who were chronically bullied as kids were also much more likely to experience social anxiety, eating problems, conduct issues and behavior challenges, the study found.
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Disclaimer: Material on the William James INTERFACE Referral Service website is intended as general information. It is not a recommendation for treatment, nor should it be considered medical or mental health advice. The William James INTERFACE Referral Service urges families to discuss all information and questions related to medical or mental health care with a health care professional.